Originally Posted by Fred61
Last Februaury I was diagnosed with a DVT in my right calf. I was having issues with vericose veins in that leg after the MS 150 ride here in New Jersey. I have been seriously road cycling for the past three years and doing very well. Has anyone heard of dvt's in cyclists? I am on coumadin until August or for life if any genetic blood disorders are found through blood testing. Doctors said I can exercise with cycling but to go moderately. I don't want to give up road cycling because I love it.
I was diagnosed with a DVT in 2004. I was cycling heavily at the time (and still do) and don't think it had anything to do with cycling other than (possibly) poor hydration habits. I do have a genetic predisposition (heterozygous Protein C deficiency) and even with this I was put on a 6 month coumadin therapy (vs. lifetime). The docs decided against lifetime coumadin as they perceived, given my active lifestyle, the risk of internal bleeding to be greater than the recurrence of a DVT. My father happens to be an adhesion biologist and his MD research collaborators were the ones who treated me. As active clinical researchers in the field I trust their advice.
I was pretty stupid at the time and continued mtb racing while on coumadin. I was in a mtb bike accident and, from the swelling (arm swelled up to the extent i could not bend my elbow), thought I had broken my arm. Ends up it was internal bleeding and I have a nice calcified hematoma to remind me how stupid I was to be mtn biking while on coumadin...
You may not have to give up cycling, in fact anything that increases circulation in the lower extremities reduces the potential for a DVT. But understand the risks especially if you are on coumadin.
While on coumadin:
- Assess the risk of injury. If there's an elevated risk you might take a nice fall it's probably not a good idea.
- Wear a medicalert bracelet. If you do fall and can't communicat the responders need to know you will bleed abnormally.
- Be aware of diet your especially anything containing Vitamin K.
- Be aware of anything metabolized in the liver (i.e. alcohol, over the counter paid meds, ...)
- While getting blood drawn for your INR, don't make fun of the nurse's shirt (she made me pay for that...)
I mention the Vitamin K and liver metabolization stuff since they had such a hard time stabilizing my INR. I had to get poked once a week...
I still have reminders of the DVT with some cramping and stiffness in the calf (the DVT can actually scar the vein). Be prepared to become medically "untouchable". If I call my doctor and mention "chest pain" I am shuttled to to urgent care and then always to the ER. I assume this is due to the potential liability of misdiagnosing a pulmonary embolism. Getting treated for chest colds is now a day long affair...
Please keep in mind that I am not a doctor, only a cyclist who's gone through the same thing. But don't be afraid to ask your doctor questions. Make them aware that you would like to continue cycling. The two of you can weigh the risks together...
Last edited by testtube; 07-25-07 at 04:49 PM.